Successful management of epistaxis in the pediatric population relies on a detailed history and physical examination. Patients with a family history, recurrent, or severe epistaxis should be evaluated and treated for underlying systemic, coagulation, vascular, infectious, and neoplastic processes. Careful attention should be made to hemodynamic and airway instability. Once stable, several conservative and surgical options are available in the clinician's armamentarium. External pressure, cautery, topical agents, and packing can control the majority of cases. Endoscopy is a common method to treat the majority of surgical cases. Endoscopic ligation or cauterization of the SPA is currently considered the most effective, cost efficient, and definitive treatment for uncontrolled posterior epistaxis.
|Original language||English (US)|
|Title of host publication||Pediatric and Adult SinoNasal Disorders|
|Publisher||Nova Science Publishers, Inc.|
|Number of pages||12|
|ISBN (Print)||9781634822404, 9781634822220|
|State||Published - Apr 1 2015|
ASJC Scopus subject areas